Douglas Berger psychiatrist in Tokyo is a fully bilingual Japanese/English American board-certified psychiatrist and Director of the Tokyo Meguro Counseling Center. Dr. Berger received his M.D. and psychiatry training from New York Medical College, and his Ph.D. from the Department of Psychosomatic Medicine at the Tokyo University School of Medicine.
It is common for persons to wait until their symptoms become bad before getting help then get desperate for care once things snowball. The solution is to be sure when one is going downhill. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Personal disaster after disaster can cause people to give up faced with further stresses and disaster, the challenge is to break this cycle. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Many patients dislike medication, they will decline increasing current medication even if they got good help from the current dose but are still have symptoms, it’s easy to forget that a little more is probably the answer. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
What is the best way to stay mentally healthy? Have friends, talk to people, do exercise, have love, do interesting things. Answer, work on all of them! Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
“Many patients have depression”, True? Low moods are common but who is “ill” with depression, just has stress, or has something else? We can only "guess” & treat because psychiatric diagnoses are actually unprovable. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Does everything need a medication on the formulary? Some things do, some don’t. Natural remedies sound “corny” and don’t make much money for medical stakeholders.
Halving or stopping meds often leads to…nothing, but that doesn’t mean there won’t be some withdrawal or recurrence. Each step of the way in medication management requires patience.
New expensive meds gets lots of praise, old cheap meds commonly get a bad rap. How should we think? Carefully. Look at data with a discerning eye, see what entities stand to benefit or loose, that usually is the best hint.
How to evaluate research? Just read the abstract? Don’t look at the funding or who can gain profit? Don’t read related papers? Don’t see the methods? Don’t see if the authors are related to the publication? If you said yes to these then take a course in evaluating research.
Persons on medications can have vivid dreams, enough so that they can’t even tell the difference between dreams and reality. First, don’t panic and don’t rush to stop your meds! Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V
Many couples make extreme decisions during a fight, just a simple apology and a time-out can bring the game back to normality. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V
It is common to talk about one’s positive attributes in therapy, it’s could be looking for validation from the therapist, OR, it could be a shield not to look at one’s bad attributes. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V
What’s the most common cause of relapse in depression? Stress? Bad genes? Bad diet? Stopping meds? Answer: sometimes stress, often stopping meds. Tread life carefully! Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Hyper people sometimes start to do great things. They may start a great career course, but commonly they start a few things at a time and get off the track. Good therapy will warn them ahead of time. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V